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CIGNA TERMS 2025 QUESTIONS AND
ANSWERS .
1. Employee Status: COBRA - correct answer - Employers must
offer to temporarily prolong coverage after the employees time with the company ends. Employee will have to pay 100% of the premiums.
2. Packaging: Products - correct answer - Refers to the network of
physicians and health care providers that have agreements in place with an insurer.
3. Packaging: Benefits - correct answer - refers to the actual
covered services
4. Packaging: Benefit Design - correct answer - refers to the
copays, deductibles, and out of pocket minimums
5. Packaging: Provider - correct answer - used to describe the
health professionals who provide the services. physicians, chiropractors. 1 / 2
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6. Packaging: Network - correct answer - refers to a group of
providers or health care facilities that are contracted with Cigna at various negotiated discounts. "in-network"
7. Claims: Claim occurrence - correct answer - the patient gets a
service from a provider
8. Claims: Claims submission - correct answer - the provider
submits a claim to the insurance company
9. Claims: Claims Processing - correct answer - the insurance
processes the claim according to the insured's plan benefits
10. Claims: EOB communication - correct answer - Explanation
of Benefits. it shows exactly what the insurance company has paid for the service and what will be paid by the health care provider.
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